Organization
MIRA COSTA COMMUNITY COLLEGE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MARQUARDT (DIRECTOR, HEALTH SERVICES)
(760) 795-6676
Entity
Organization
Contact information
Practice address
1 BARNARD DR, OCEANSIDE, CA 92056-3899
(760) 795-6675
Mailing address
1 BARNARD DR, OCEANSIDE, CA 92056-3899
(760) 795-6675
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/22/2023
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